Invasive Fungal Rhinosinusitis in Maharaj Nakorn Chiang Mai Hospital
Kannika Roongrotwattanasiri MD*, Supranee Fooanant MD*, Luxana Naksane MD*
Affiliation : * Otolaryngology Department, Faculty of Medicine, Chiang Mai University, Chiang Mai
Background : Invasive fungal rhinosinusitis, a rare infection, is a life threatening disease. Delay in diagnosis
may consequently lead to high morbidity and mortality.
Objective : Encourage early detection and proper management of invasive fungal rhinosinusitis.
Materials and Methods : Medical records, radiological, and pathological reports of five patients who were
diagnosed as invasive fungal rhinosinusitis were reviewed retrospectively.
Results : Four in five cases of invasive fungal rhinosinusitis, confirmed by pathological study, had successful
treatment. One patient had intracerebral hemorrhage that may be associated with the disease spreading.
Disease extension was evaluated by CT paranasal sinus in all cases, but it usually did not have classic bony
erosion.
Conclusion : Curing infection, correcting underlying conditions, and working up fungal infection should be
carried out as early as possible, because morbidity and mortality depend on disease extension and host status.
Keywords : Invasive fungal sinusitis, Fungal sinusitis, Fungal rhinosinusitis
